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[Nail fold formation using a thenar flap in complete syndactylia]
Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V
|December 1, 1982
Summary
This study presents a surgical technique using a thenar flap to reconstruct lateral nail folds in complete syndactyly. This method prevents finger distortion after surgical separation, improving functional and aesthetic outcomes.
Area of Science:
- Plastic Surgery
- Hand Surgery
- Congenital Hand Anomalies
Context:
- Complete syndactyly involves complete fusion of fingers, including the nail.
- Surgical separation often results in distorted finger ends due to lack of lateral nail folds.
- Existing methods may not adequately address the formation of lateral nail folds.
Purpose:
- To describe a novel surgical technique for reconstructing lateral nail folds in complete syndactyly.
- To evaluate the efficacy of using a thenar flap for this purpose.
- To prevent post-operative distortion of the finger ends.
Summary:
- A thenar flap is utilized to transfer tissue to the dorsal aspect of syndactylic finger tips.
- This transferred tissue is designed to create normal lateral nail folds.
- The reconstruction is performed prior to or during the separation of fused fingers.
Impact:
- The technique aims to achieve aesthetically pleasing and functionally normal finger ends post-surgery.
- It addresses a common complication of syndactyly release, namely distorted finger morphology.
- Successful reconstruction of lateral nail folds enhances the overall outcome of syndactyly correction.